Provider Demographics
NPI:1477111953
Name:HEALTHCARE ADVOCATES, LLC
Entity Type:Organization
Organization Name:HEALTHCARE ADVOCATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:DONIA
Authorized Official - Last Name:POPE
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:404-530-9332
Mailing Address - Street 1:5288 BROOKSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-5365
Mailing Address - Country:US
Mailing Address - Phone:404-530-9332
Mailing Address - Fax:877-570-2212
Practice Address - Street 1:2899 TEJAS TRL SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-2811
Practice Address - Country:US
Practice Address - Phone:404-530-9332
Practice Address - Fax:877-570-2212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-30
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251X00000XAgenciesSupports BrokerageGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1225307812Medicaid